ABOVE & BEYOND HOSPICE CARE
Provider Information
- Address
- 417 EAST 1ST STREET
MONTICELLO, IA 52310 - Ownership Type
- Non-Profit
- Medicare Certified Since
- March 19, 2007
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 2 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 2 |
10
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what ABOVE & BEYOND HOSPICE CARE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ABOVE & BEYOND HOSPICE CARE compares to hospices nationwide.
11.6 minutes
of nurse care per routine home care day, on average
That is the 42nd percentile among hospices nationally. The national median is about 12 minutes.
30
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day11.6 min
Ranks better than about 42% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends5.7%
Ranks better than about 23% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life92.4%
Ranks better than about 42% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits53.1%
Ranks better than about 49% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care12.1%
Ranks better than about 17% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months48.5%
Ranks better than about 21% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care3%
Ranks better than about 72% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice6.1%
Ranks better than about 7% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)67th percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$12,268 · 20th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 61.5% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life61.5%
- All care steps completed100%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer29%
- Dementia17%
- Heart and circulatory disease21%
- Lung and respiratory disease10%
- Stroke7%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About ABOVE & BEYOND HOSPICE CARE
ABOVE & BEYOND HOSPICE CARE provides end-of-life services to residents in Monticello, Iowa. They hold certification as a non-profit organization. This agency has served the local area since March 2007. They also maintain accreditation through the Joint Commission. That accreditation shows they meet national standards for safety and quality. It is a sign of their commitment to high performance. Families in Jones County can look to this provider for support during difficult times. They focus on meeting the needs of those they serve. Their long history in the community helps them understand local health resources. Choosing a group with this kind of record offers peace of mind. You want a team that knows how to handle complex medical situations with care. Their structure as a non-profit means their focus stays on patient needs. That is a clear benefit for local families who seek reliable hospice support.
Provider Background
This agency operates as a home health provider. They employ a staff of ten people to cover their service area. Their clinical team includes two registered nurses and one licensed practical nurse. They also have two physicians on staff to oversee medical care. The Joint Commission accreditation serves as an independent review of their work. They check that the agency follows strict rules for patient safety. This process happens on a regular schedule to ensure ongoing compliance. Most families find this third-party review helpful when making a choice. The agency has built a solid reputation over many years in business. Having both nurses and doctors on the team allows for a balanced approach to pain management. They work together to address symptoms quickly. Their staff size suggests they can provide personalized attention to each patient. This balance of medical expertise is a core part of their daily operation in the Monticello area.
Quality Performance
What Is Hospice Care Like in MONTICELLO?
Hospice care in this part of Iowa focuses on comfort and dignity. The goal is to manage pain and support the family during the final stages of life. Agencies in this region often coordinate with local clinics to ensure smooth transitions for patients. You will find that care happens mostly in the home setting. This allows patients to stay in a familiar environment surrounded by their own belongings. The team at this agency includes skilled nurses and doctors who visit regularly. They monitor the condition of the patient and adjust medications as needed. They also provide emotional and spiritual support to help everyone involved. Having professional help nearby makes a difference when symptoms change. You can expect a team that communicates clearly about the plan of care. They aim to reduce stress for the entire household. This model of care is designed to improve the quality of each day for the patient.
What to Ask When Choosing a Hospice Provider
Choosing the right team is a big step for your family. You should feel comfortable asking direct questions about how they operate. Start by asking how quickly a nurse can reach your home during an emergency. You should also ask how they manage pain and other difficult symptoms at night. Another good question is how they support family caregivers who may feel tired or overwhelmed. Ask them to explain how their specific team will communicate with your primary doctor. Make sure you understand the role of each staff member in the care plan. It helps to ask how they handle spiritual or emotional needs beyond the physical care. Do not be afraid to ask for clarity on any part of the process. You deserve to have all your concerns addressed before you make a final decision. A good provider will be happy to answer these questions with patience and honesty.
Preserve Your Family Stories
Capture the life stories and memories of your loved ones to keep their legacy alive for future generations.
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